KRISTIN CRUMBLEY (NPI# 1164047106) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164047106 |
| Entity Type | Individual |
| Full Name | KRISTIN CRUMBLEY |
| Credential | LMHC, LMFT |
| Practice Address |
240 N Frederick Ave Daytona Beach FL 32114 |
| Mailing Address |
240 N Frederick Ave Daytona Beach FL 32114-3400 |
| Practice Telephone | 3866750118 |
| Mailing Telephone | 3866750098 |
| Enumeration Date | 2020-06-16 |
| Last Update Date | 2020-06-16 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
17903 | FL | Behavioral Health & Social Service Providers |
| N | 106H00000X | Marriage & Family Therapist | 3816 | FL | Behavioral Health & Social Service Providers |
| Street Address |
240 N FREDERICK AVE |
| City | DAYTONA BEACH |
| State | FL |
| Zip Code | 32114 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720260722 | Outreach Community Care Network | Case Management | 240 N Frederick Ave, Suite A, Daytona Beach, FL 32114 | 2007-11-30 |
| 1528699352 | Outreach Health Incorporated | General Practice | 240 N Frederick Ave, Daytona Beach, FL 32114-3400 | 2020-01-30 |
| 1962048447 | The Levi Long Sickle Cell Association, Inc | Case Management | 240 N Frederick Ave, Daytona Beach, FL 32114-3400 | 2019-11-20 |
| 1225699143 | Tanya Leshea Williams | Pharmacist | 240 N Frederick Ave, Daytona Beach, FL 32114-3400 | 2019-06-21 |
| 1023678539 | Chester Wilson Jr. | Counselor | 240 N Frederick Ave, Daytona Beach, FL 32114-3400 | 2019-06-17 |
| 1225569973 | Wendy Seavers | Community Health Worker | 240 N Frederick Ave, Daytona Beach, FL 32114-3400 | 2017-03-24 |
| 1841736964 | Outreach Community Care Network Inc | Case Management | 240 N Frederick Ave, Daytona Beach, FL 32114-3400 | 2017-01-12 |
| 1639582992 | Jane Marti Martin | Case Manager/Care Coordinator | 240 N Frederick Ave, Daytona Beach, FL 32114-3400 | 2014-06-04 |
| 1992116495 | Tony L Broxton | Case Manager/Care Coordinator | 240 N Frederick Ave, Daytona Beach, FL 32114-3400 | 2014-05-19 |
| 1952738049 | Outreach Community Care Network, Inc. | Internal Medicine | 240 N Frederick Ave, Suite D, Daytona Beach, FL 32114-3400 | 2013-10-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376161380 | Evolution Health & Performance LLC | Physician Assistant | 244 S. Palmetto Ave, Daytona Beach, FL 32114 | 2020-07-07 |
| 1407480189 | Kierra Imani Kinsey | Behavior Technician | 1128-a Beville Rd, Daytona Beach, FL 32114 | 2020-03-02 |
| 1043776057 | Outreach Community Care Network Inc | Pharmacy | 240 N. Frederick Avenue, Daytona Beach, FL 32114 | 2019-02-14 |
| 1033681861 | Katherine Proppe | Specialist/Technologist | 1 Aerospace Blvd, Daytona Beach, FL 32114 | 2018-12-18 |
| 1841765047 | Anna L Smith | Nurse Practitioner | 339 Bill France Blvd Ste C, Daytona Beach, FL 32114 | 2018-10-04 |
| 1154806933 | Steve Anthony Lee | Family Medicine | 731 N. Clyde Morris Blvd, Daytona Beach, FL 32114 | 2018-09-27 |
| 1285116491 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 1348 W International Speedway Blvd Ste 2, Daytona Beach, FL 32114 | 2018-09-04 |
| 1770085656 | Merina Lee | Occupational Therapist | 1159 Australia Ave., Daytona Beach, FL 32114 | 2018-03-06 |
| 1346752755 | Hand & Upper Extremity Surgery of Daytona Beach, LLC | Non-Pharmacy Dispensing Site | 1241 Ridgewood Ave, Daytona Beach, FL 32114 | 2017-10-26 |
| 1104347053 | Harry Herman Blanke IIi | Family Medicine | 201 N Clyde Morris Blvd, Suite 200, Halifax Health Family Medicine Residency Program, Daytona Beach, FL 32114 | 2017-06-30 |
| Find all providers in zip 32114 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255946240 | Jazmine Nicole Savage | Counselor | 140 S Beach St Ste 410, Daytona Beach, FL 32114-4409 | 2020-09-15 |
| 1144851163 | Christian Cannon | Counselor | 144 S Halifax Ave Apt 19, Daytona Beach, FL 32118-4459 | 2020-01-29 |
| 1801449962 | Janae Bolling | Counselor | 140 S Beach St Ste 301, Daytona Beach, FL 32114-4409 | 2019-07-18 |
| 1972074490 | Bria S. Mcallister | Counselor | 120 Acklins Cir Apt 104, Daytona Beach, FL 32119-9761 | 2018-12-10 |
| 1043700586 | Linda L Stanislaw | Counselor | 1340 Wright St, Daytona Beach, FL 32117-1850 | 2018-05-10 |
| 1538681135 | Tanya Evette Smith | Counselor | 1420 Mason Ave Ste 110, Daytona Beach, FL 32117-5507 | 2017-07-14 |
| 1780127316 | Lauren Hales | Counselor | 125 Rosalyn Ave, Daytona Beach, FL 32118-5130 | 2016-11-30 |
| 1235594409 | Rose Haile | Counselor | 228 Haynes St, Daytona Beach, FL 32114-4108 | 2015-12-15 |
| 1285007682 | Cassandra Aire Lashon Lundy | Counselor | 112 Ontario Ct, Daytona Beach, FL 32114-6723 | 2015-11-06 |
| 1336528801 | Kristin Jones Brown | Counselor | 152 Springberry Ct, Daytona Beach, FL 32124-3627 | 2015-05-29 |
| Find all providers in DAYTONA BEACH | ||||
| City | DAYTONA BEACH |
| Zip Code | 32114 |
Please comment or provide details below to improve the information on KRISTIN CRUMBLEY.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.